Organization Active NPI

North Bay Medical Associates, P.a.

  • Family Medicine Physician
  • North East, MD
National Provider Identifier
1114035292
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0023322 Issued in MD
Legal business name
NORTH BAY MEDICAL ASSOCIATES, P.A.
Practice address
322 E Cecil Ave
Suite 2
North East, MD 21901-4012
Phone
(410) 287-3727
Fax
(410) 287-2819
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Hope Dieffenbach
Title
Practice Manager
Phone
(410) 287-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0023322 MD Primary

Addresses

Primary practice location

322 E Cecil Ave
Suite 2
North East, MD 21901-4012

Mailing address

322 E Cecil Ave
Suite 2
North East, MD 21901-4012
Phone (410) 287-3727

National Provider Directory

National Provider Directory

Locations

313 W Main St
Ste A
Newark, DE 19711
Phone (302) 731-4620

313 W Main St
Newark, DE 19711
Phone (302) 731-4620

126 E High St
Ste A
Elkton, MD 21921
Phone (410) 398-8300

118 North St
Ste 3B
Elkton, MD 21921
Phone (410) 287-3727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1114035292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E CECIL AVE",
            "address_2": "SUITE 2",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014012",
            "telephone_number": "410-287-3727",
            "fax_number": "410-287-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E CECIL AVE",
            "address_2": "SUITE 2",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014012",
            "telephone_number": "410-287-3727",
            "fax_number": "410-287-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "DIEFFENBACH",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-287-3727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0023322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.